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Updated: Jul 13, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
[Nutritional status disorders prevalence rates in a sample of pediatric oncology Day Hospital patients]
A Schiavetti1, C Fornari, R Guidi
1Clinica Pediatrica, Università degli Studi La Sapienza, Rome, Italy. amaliasc@tiscalinet.it
Insights
Pediatric oncology patients on therapy show similar overweight rates to the general population, but a significant 26.3% are underweight. Those off-therapy have increased overweight prevalence and no underweight cases, highlighting the need for nutritional assessment.
Area of Science:
- Pediatric Oncology
- Nutritional Science
- Clinical Research
Context:
- Nutritional status is critical for pediatric growth and development.
- Industrialized nations face high rates of pediatric overweight/obesity (35-40%).
- Underweight in children is often linked to other diseases.
Purpose:
- To determine the prevalence of nutritional status disorders in pediatric oncology day hospital patients.
- To compare nutritional status between patients on-therapy and off-therapy.
Summary:
- A study measured anthropometric parameters in pediatric solid tumor patients (on-therapy and off-therapy).
- Real Body Weight (% RBW) was used to classify patients into weight categories.
- Results: 44.4% were overweight/obese, 13.9% underweight. On-therapy: 36.9% overweight, 26.3% underweight. Off-therapy: 52.9% overweight, 0% underweight.
Impact:
- Preliminary findings indicate that pediatric oncology patients on treatment have similar overweight prevalence to healthy children but a higher underweight rate.
- Patients off-therapy exhibit increased overweight prevalence and resolved underweight status.
- These results underscore the necessity of nutritional assessment and tailored strategies for oncologic patients.
Background:
Nutritional status is more important in children than in adults because it is necessary to support normal growth and development. In industrialized countries the prevalence of nutritional status disorders in the pediatric population are as follows: 35-40% of children are overweight/obese, while the underweight status disappeared in some reports or, when it is present, it is associated with other diseases. The aim of this study was to investigate the prevalence rates of nutritional status disorders among an unselected sample of Pediatric Oncology Day Hospital patients.
Methods:
Anthropometric parameters of weight and height have been measured in patients affected with solid tumor either on-therapy or off-therapy (0-24 mo). Then Real Body Weight (% RBW) was estimated referring to National Center for Health Statistic percentiles. The sample was then divided into 4 weight classes (under-weight, normal-weight, over-weight and obese) according to % RBW.
Results:
Overweight patients (overweight + obese) were 44.4%, and 13.9% underweight. Dividing the patients according to whether they are on-therapy or off-therapy, the prevalence of overweight was 36.9% in the former group and 52.9% in the latter, and the underweight prevalence was 26.3 vs 0%.
Conclusions:
Our preliminary data show that in this sample of patients on treatment obesity and overweight are present in a similar percentage of the healthy population, but underweight status prevalence is 26.3%. In the sample of patients off-therapy the underweight status disappeared while the overweight status increased. These data suggest that nutritional assessment in oncologic patients is required in order to provide nutritional strategies.
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